GULF COAST HMA PHYSICIAN MANAGEMENT LLC (NPI# 1770881112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770881112 |
| Entity Type | Organization |
| Organization Name | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Other Organization Name | GCMG-DIAGNOSIC CENTER/LAB |
| Practice Address |
1700 E Venice Ave Venice FL 34292-3190 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 2395983131 |
| Practice Fax Number | 2395920438 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| GCMG-Diagnosic Center/Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770879363 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 1000 Aston Gardens Dr, Venice, FL 34292-3078 | 2011-06-22 |
| 1699072934 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 250 W Dearborn St, Englewood, FL 34223-3245 | 2011-02-23 |
| 1407806094 | Gulf Coast Hma Physician Management LLC | Family Medicine | 1101 Tamiami Trl S, Suite 101, Venice, FL 34285-4133 | 2006-05-12 |
| 1558745463 | Gulf Coast Hma Physician Management LLC | Dietitian, Registered | 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 | 2015-07-10 |
| 1932470648 | Gulf Coast Hma Physician Management LLC | Podiatrist | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2012-01-26 |
| 1255625067 | Gulf Coast Hma Physician Management LLC | Pain Medicine | 417 Commercial Ct, Suite A6, Venice, FL 34292-1655 | 2011-06-09 |
| 1861790206 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1033417472 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1851699292 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 333 Miami Ave W, Venice, FL 34285-2361 | 2011-03-09 |
| 1760780100 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 101, Venice, FL 34285-2402 | 2011-03-09 |
| Street Address |
1700 E VENICE AVE |
| City | VENICE |
| State | FL |
| Zip Code | 34292-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921531 | Anthony G. Lyon | Family Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2005-09-01 |
| 1033417472 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1134427578 | Gulf Coast Hma Physician Management LLC | Clinic/Center | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1497053839 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1164430591 | Lyle William Grenz | Chiropractor | 1700 E Venice Ave, Venice, FL 34292-3190 | 2006-08-03 |
| 1194747063 | Mario J Depinto | Family Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2006-07-23 |
| 1265428973 | Travis L Prachar | Nurse Practitioner | 1700 E Venice Ave, Venice, FL 34292-3190 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.